Individual
TEA DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 W KIMBERLY RD STE 46, DAVENPORT, IA 52806-5717
(562) 262-8543
Mailing address
2930 5TH AVE APT 11, ROCK ISLAND, IL 61201-1910
(509) 270-3789
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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